| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
186 |
123 |
$31K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,579 |
997 |
$29K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
53 |
37 |
$18K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
160 |
136 |
$12K |
| A7526 |
Tracheostomy tube collar/holder, each |
116 |
75 |
$6K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
114 |
83 |
$4K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
606 |
367 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
326 |
221 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
135 |
75 |
$2K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
50 |
25 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
191 |
103 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
251 |
190 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
148 |
97 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
103 |
59 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
53 |
39 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
206 |
140 |
$909.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
355 |
188 |
$785.44 |
| A7035 |
Headgear used with positive airway pressure device |
222 |
119 |
$749.85 |
| A7037 |
Tubing used with positive airway pressure device |
257 |
138 |
$729.38 |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
18 |
13 |
$696.08 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
139 |
68 |
$625.35 |
| E1392 |
Portable oxygen concentrator, rental |
134 |
78 |
$322.76 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
34 |
15 |
$296.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
49 |
40 |
$154.24 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
50 |
38 |
$150.05 |
| A7525 |
Tracheostomy mask, each |
93 |
54 |
$114.83 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
21 |
12 |
$35.83 |